Organization Active NPI

Liberty Rhea Ranada Ebarle PT PC

  • Physical Therapist
  • Bronx, NY
National Provider Identifier
1073163168
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
LIBERTY RHEA RANADA EBARLE PT PC
Practice address
14 Bruckner Blvd
Bronx, NY 10454-4414
Phone
(718) 402-5200
Fax
(718) 402-5211
NPI assigned
Sep 19, 2019
Last updated
Jan 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Liberty Rhea Ranada Ebarle, PTNPI 1306268891
Title
PT
Phone
(718) 402-5200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

14 Bruckner Blvd
Bronx, NY 10454-4414

Mailing address

14 Bruckner Blvd
Bronx, NY 10454-4414
Phone (718) 402-5200

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579564800000",
    "number": "1073163168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 BRUCKNER BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104544414",
            "telephone_number": "718-402-5200",
            "fax_number": "718-402-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 BRUCKNER BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104544414",
            "telephone_number": "718-402-5200",
            "fax_number": "718-402-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY RHEA RANADA EBARLE PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-19",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "EBARLE",
        "authorized_official_first_name": "LIBERTY RHEA",
        "authorized_official_middle_name": "RANADA",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "718-402-5200",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.